FORM 1023-EZ for CATALYST FOR CHANGE

Field Data
EIN 85-1921767
Case Number EO-2020273-000937
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CATALYST FOR CHANGE
Organization’s Mailing Address 131 JURY ROAD
City BRANDON
State MS
ZIP 39047
Accounting period End 12
Primary contact name KATHY BURK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY BURK
PRESIDENT
131 JURY ROAD
BRANDON MS 39047

Officer/Director/Trustee Two

DOLLIE HAMBRICK
SECRETARY
1090 W EXCHANGE PARKWAY APT 1107
ALLEN TX 75013

Officer/Director/Trustee Three

PATRICIA TERRY
TREASURER
580 S PEAR ORCHARD ROAD 1510
RIDGELAND MS 39157

Organization’s website
Organization’s email KATHY_B102@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHY BURK
Signature Title PRESIDENT
Signature Date 9/27/2020

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